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Al;pi,, Recd~ kot!~, y <br />By: ~m <br /> <br />Date:: 8/1 fl/~2 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St, N.E, 2nd Floor <br /> Salem~ Oregon g7301 <br /> <br /> 588-8147 - 885-5148 <br />5::00 P,M.- ...........CODE-A-Phone $88-5373 ........... 800 AM,, <br /> <br />Type of Permit: ConstruCtion <br /> <br />TaxLotNo 72651~091 <br /> <br />Address::,,, 19598 Goo.~..~ Lake Dr...ive Aurora= OR <br />Owner:; J: Gregcin, Inc. Phone:~9~l-4986 <br /> <br /> Sec,, 22 Twnshp. -.~Rge~ WM <br />..... Address: P.O. BOX 29 Hubbard, OR <br /> <br />BIdr. & NO.: Same 10491 <br /> <br />Phone: s~me ,, Address; s~me <br /> <br />Plans by;; L~w_r. ence Des±c~n <br /> <br />0'~ Of Bldg :: <br />Single family residence <br /> <br /> Phone: 662-4484 Add[ess; Rt, <br />P.rt. Cond,, Usa I Yeti*nee I Fire Zone <br /> <br /> or OC~. Ld:l ~ Setbacks;: 2 0 ~ <br /> <br />Box 20~ __~_ OR <br />O~pency I Type of Con~ <br /> Wood frame <br /> Sides Rear <br /> 5' 24' <br /> <br />Lot No,4 1,0 81k No ...... 1 <br />Area of Bldg. 2nd <br />MainFIr4 IO~R Fir; ..... <br /> <br />Sub dy, ~ Est ....... <br /> B~se- Total <br /> ment, - Areo~ 1~6 <br /> <br />Lot Size-l.,g5x70 Corner?_ no <br /> <br /> Truss/$tick~ Tr'o,~s <br />Wood Water <br />Stove= ~0 Supply=. PriYa'ce Elect, Fee: <br /> <br />Roof Type~ __('~m? <br />Heating <br />System~ b~seboard <br />Septic Tank New <br />Site Eval ..... Instal,,= <br /> <br />Valuatiom :~1 <br />Bidg,, Permit <br /> 17~.75 <br /> <br />25 .CO <br /> <br />5ystem~ .... Gals,4 (~ Plumb. Fee .... 40-0~ <br /> State <br />VALIDATIONS.~ .L/~Z/~ Surcharge; 9 ~ <br /> <br /> Date~ Plans Chk, Fee~ l l 6 * 19 <br /> - Permit Fee._ <br /> <br />I agree to build according to the submitted plans and specifications, the lows of the State DEQ Surcharge= <br />of Oregon and the Ordinances of Marion County, Permit expires if work not commenced <br />with,n 180 day~ I further expressly warrant that I comply with the provisions of ORS TOTAL FEE;_._ .... <br /> <br />( ) I am performing work on a property I own 9r occupy RECEIPT NO, = ~_ <br />(~J I am a registered builder OR ( j the authorized ( ) The work wil~ 6e perfocmed by a registered budder <br />representative of o registered builder ( ) Other (please speofy) <br /> <br />REMARKS:: <br /> <br />SIGNATUR[; OF APPLICANT -----'/.]~)'''''-~ I ~ ~ ' .~~'/Y~~~ ..... <br /> PLEASE NOTE:: ~n~~walk mspectlons are required by Public Works;; 588-5036 <br /> <br /> ~m[~s~is d.pt; Plumbing <br /> <br /> <br />